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Intraoperative Findings in Spinal Lesions

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Intraoperative Ultrasound (IOUS) in Neurosurgery

Abstract

Ultrasonographic appearance of spinal tumors has been described in few studies until now, and the role of intraoperative ultrasound is not yet well standardized in spinal tumor surgery.

To evaluate the spinal cord, probes with very high frequency (10 MHz or greater) can be used with outstanding spatial and temporal resolution. Before tumor removal, the lesion is identified, measured on axial and sagittal axes and defined as hyperechoic, isoechoic, or hypoechoic. Other characteristics of the lesions are considered: presence of calcifications, cystic/necrotic areas, diffuse or circumscribed appearance, and the relationships with the surrounding anatomical structures. Intraoperative ultrasonographic findings of different spinal tumors, according to histotypes and also to position, with respective pictorial essays are here presented. Intraoperative ultrasound is a valuable tool to detect spinal lesions, evaluate the surgical approach, and plan the surgical strategy, considering the position and relationships of the lesion with bony, neural, and vascular structures.

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Authors and Affiliations

  1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, Via G. Celoria 11, 20133, Milan, Italy

    Ignazio G. Vetrano MD & Francesco Prada

  2. Università degli Studi di Milano, Milan, Italy

    Ignazio G. Vetrano MD

Authors
  1. Ignazio G. Vetrano MD
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  2. Francesco Prada
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Correspondence to Ignazio G. Vetrano MD .

Editor information

Editors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italy

    Francesco Prada

  2. UO Radiologia Oncologica, Humanitas Univ. and Research Hospital UO Radiologia Oncologica, Busto Arsizio, Italy

    Luigi Solbiati

  3. UO Radiologia, Ospedale Valduce, Como, Como, Italy

    Alberto Martegani

  4. Istituto Neurologico C. Besta, Fondazione IRCCS, Milano, Italy

    Francesco DiMeco

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Vetrano, I.G., Prada, F. (2016). Intraoperative Findings in Spinal Lesions. In: Prada, F., Solbiati, L., Martegani, A., DiMeco, F. (eds) Intraoperative Ultrasound (IOUS) in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25268-1_6

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  • DOI: https://doi.org/10.1007/978-3-319-25268-1_6

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  • Online ISBN: 978-3-319-25268-1

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